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Cut-off values of hemoglobin and clinical outcomes in incident peritoneal dialysis: the PDTAP study

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收录情况： ◇ SCIE

作者：
Xu Xiao[1] * ; Yang Zhikai[1] ; Li Shaomei[2] ; Pei Huayi[2] ; Zhao Jinghong[3] ; Zhang Ying[3] ; Xiong Zibo[4] ; Liao Yumei[4] ; Li Ying[5] ; Lin Qiongzhen[5] ; Hu Wenbo[6] ; Li Yulin[6] ; Zheng Zhaoxia[7] ; Duan Liping[7] ; Fu Gang[8] ; Guo Shanshan[8] ; Zhang Beiru[9] ; Yu Rui[9] ; Sun Fuyun[10] ; Ma Xiaoying[10] ; Hao Li[11] ; Liu Guiling[11] ; Zhao Zhanzheng[12] ; Xiao Jing[12] ; Shen Yulan[13] ; Zhang Yong[13] ; Du Xuanyi[14] ; Ji Tianrong[14] ; Wang Caili[15] ; Deng Lirong[15] ; Yue Yingli[16] ; Chen Shanshan[16] ; Ma Zhigang[17] ; Li Yingping[17] ; Zuo Li[18] ; Zhao Huiping[18] ; Zhang Xianchao[19] ; Wang Xuejian[19] ; Liu Yirong[20] ; Gao Xinying[20] ; Chen Xiaoli[21] ; Li Hongyi[21] ; Du Shutong[22] ; Zhao Cui[22] ; Xu Zhonggao[23] ; Zhang Li[23] ; Chen Hongyu[24] ; Li Li[24] ; Wang Lihua[25] ; Yan Yan[25] ; Ma Yingchun[26] ; Wei Yuanyuan[26] ; Zhou Jingwei[27] ; Li Yan[27] ; Zheng Yingdong[28] ; Wang Jinwei[1] ; Zhao Ming-Hui[1] ; Dong Jie[1] ;
机构： [1]Renal Division, Department of Medicine, Peking University First Hospital Institute of Nephrology, Peking University Key Laboratory of Renal Disease, Ministry of Health Key Laboratory of Renal Disease, Ministry of Education Beijing, China [2]Renal Division, Department of Medicine, The Second Hospital of Hebei Medical University Hebei, China [3]Department of Nephrology, the Key Laboratory for the Prevention and Treatment of Chronic Kidney Disease of Chongqing, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China [4]Renal Division, Department of Medicine, Peking University Shenzhen Hospital Guangdong, China [5]Renal Division, Department of Medicine, The Third Hospital of Hebei Medical University Hebei, China [6]Renal Division, Department of Medicine, People's Hospitel of Qinghai Province Qinghai, China [7]Renal Division, Department of Medicine, Handan Central Hospital Hebei, China [8]Renal Division, Department of Medicine, Peking Haidian Hospital Beijing, China [9]Department of Nephrology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China [10]Renal Division, Department of Medicine, Cangzhou Central Hospital Hebei, China [11]Renal Division, Department of Medicine, The Second Affiliated Hospital of Anhui Medical University Anhui, China [12]Renal Division, Department of Medicine, The First Affiliated Hospital of Zhengzhou University Henan, China [13]Renal Division, Department of Medicine, Beijing Miyun District hospital Beijing, China [14]Renal Division, Department of Medicine, The Second Affiliated Hospital of Harbin Medical University Heilongjiang, China [15]Renal Division, Department of Medicine, The First Affiliated Hospital of BaoTou Medical College Neimenggu, China [16]Renal Division, Department of Medicine, People's Hospital of Langfang Hebei, China [17]Renal Division, Department of Medicine, People's Hospital of Gansu Gansu, China [18]Renal Division, Department of Medicine, Peking University People's Hospital, Beijing, China [19]Renal Division, Department of Medicine, Pingdingshan First People's Hospital Henan, China [20]Renal Division, Department of Medicine, The First People's Hospital of Xining Qinghai, China [21]Renal Division, Department of Medicine, Taiyuan Central Hospital Shanxi, China [22]Renal Division, Department of Medicine, Cangzhou People's Hospital Hebei, China [23]Renal Division, Department of Medicine, First Hospital of Jilin University Jilin, China [24]Renal Division, Department of Medicine, The People's Hospital of Chuxiong Yi Autonomous Prefecture, Yunnan, China [25]Renal Division, Department of Medicine, The Second Hospital of Shanxi Medical University, Shanxi, China [26]Renal Division, Department of Medicine, China Rehabilitation Research Center, Beijing Boai Hospital, Beijing, China [27]Renal Division, Department of Medicine, Beijing Dongzhimen Hospital Beijing, China [28]Department of Epidemiology & Biostatistics, School of Public Health, Peking University, Beijing, China
出处：
DOI： 10.1093/ndt/gfad166
ISSN：

关键词： Peritoneal Dialysis Hemoglobin Anemia Mortality Major Adverse Cardiovascular Events

摘要：
To explore the cut-off values of hemoglobin on adverse clinical outcomes in the incident PD patients based on a national-level database.The observational cohort study was from the Peritoneal Dialysis Telemedicine-assisted Platform (PDTAP) dataset. The primary outcomes were all-cause mortality, major adverse cardiovascular events (MACE) and modified MACE + . The secondary outcomes were the occurrences of hospitalization, first-episode peritonitis, permanent transfer to hemodialysis.A total of 2 591 PD patients were enrolled between June 2016 and April 2019, and followed-up till December, 2020. Baseline and time-averaged hemoglobin <100 g/L were associated with all-cause mortality, MACE, modified MACE + and hospitalizations. After multivariable adjustments, only time-averaged hemoglobin <100 g/L significantly predicted a higher risk for all-cause mortality [HR 1.83 (1.19, 281), P = 0.006], MACE [HR 1.99 (1.16, 3.40), P = 0.012] and modified MACE+ [HR 1.77 (1.15, 2.73), P = 0.010] in the total cohort. No associations between hemoglobin and hospitalizations, transfer to hemodialysis and first-episode peritonitis were observed. Among patients with hemoglobin ≥100 g/L at baseline, younger age, female, use iron supplementation, lower values of serum albumin and renal kt/v independently predicted the incidence of hemoglobin <100 g/L during the follow up.This study indicated a real-world evidence on the cut-off value of hemoglobin for predicting poorer outcomes through a nation-level prospective PD cohort.© The Author(s) 2023. Published by Oxford University Press on behalf of the ERA.

基金：
This study is supported by Scientific Research Project of Capital Health Development (2020-2-4079), CAMS Innovation Fund for Medical Sciences (2019-I2M-5-046), National High Level Hospital Clinical Research Funding (Scientific and TechnologicalAchievements Transformation Incubation Guidance Fund Project of Peking University First Hospital); National High Level Hospital Clinical Research Funding (High Quality Clinical Research Project of Peking University First Hospital)
语种：
外文
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出版当年[2024]版：
无
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 移植 2 区 泌尿学与肾脏学
JCR分区：
出版当年[2023]版：
Q1 TRANSPLANTATION Q1 UROLOGY & NEPHROLOGY
最新[2023]版：
Q1 TRANSPLANTATION Q1 UROLOGY & NEPHROLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

第一作者：
第一作者机构： [1]Renal Division, Department of Medicine, Peking University First Hospital Institute of Nephrology, Peking University Key Laboratory of Renal Disease, Ministry of Health Key Laboratory of Renal Disease, Ministry of Education Beijing, China
通讯作者：
推荐引用方式(GB/T 7714)：
Xu Xiao,Yang Zhikai,Li Shaomei,et al.Cut-off values of hemoglobin and clinical outcomes in incident peritoneal dialysis: the PDTAP study[J].NEPHROLOGY DIALYSIS TRANSPLANTATION.2024,39(2):251-263.doi:10.1093/ndt/gfad166.
APA：
Xu Xiao,Yang Zhikai,Li Shaomei,Pei Huayi,Zhao Jinghong...&Dong Jie.(2024).Cut-off values of hemoglobin and clinical outcomes in incident peritoneal dialysis: the PDTAP study.NEPHROLOGY DIALYSIS TRANSPLANTATION,39,(2)
MLA：
Xu Xiao,et al."Cut-off values of hemoglobin and clinical outcomes in incident peritoneal dialysis: the PDTAP study".NEPHROLOGY DIALYSIS TRANSPLANTATION 39..2(2024):251-263

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